Most Relevant Information
Provider Data
| NPI Number: | 1003458282 |
| Provider Name: | MICHAEL MAK AA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/09/2019 |
| Last Updated: | 04/27/2023 |
Provider Practice Location
62 COLUMBIA ST
ORLANDO
FL
328061115
Practice Location Phone/Fax
| Phone: | 3218435851 |
| Fax: | 3218431673 |
Provider Mailing Location
62 COLUMBIA ST
ORLANDO
FL
328061115
Provider Mailing Phone/Fax
| Phone: | 3218435851 |
| Fax: | 3218431673 |